Active NPI
Michael Valenzuela
- Clinical Social Worker
- Sanger, CA
National Provider Identifier
1194873810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS14555
- Practice address
- 225 Academy Ave
Sanger, CA 93657-2128 - Phone
- (559) 875-7705
- Fax
- (559) 875-0142
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCS14555 | CA | Primary |
Addresses
Primary practice location
225 Academy Ave
Sanger, CA 93657-2128
Mailing address
1501 W Henley Creek Rd
Reedley, CA 93654-3621
Phone (559) 638-2144
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LCS14555 | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCS14555 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1194873810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 W HENLEY CREEK RD",
"city": "REEDLEY",
"state": "CA",
"postal_code": "936543621",
"telephone_number": "559-638-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 ACADEMY AVE",
"city": "SANGER",
"state": "CA",
"postal_code": "936572128",
"telephone_number": "559-875-7705",
"fax_number": "559-875-0142"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS14555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "LCS14555",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanger, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.